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Overview of Utah Cancer Incidence and Mortality
October 27, 2011
Produced by the Data Acquisition, Utilization, and Management TeamPresented by Kim Herget
What is Cancer Mortality?
• A cancer mortality rate is the number of deaths, with cancer as the underlying cause of death, occurring in a specified population during a year or a given time period. Cancer mortality is usually expressed as the number of deaths due to cancer per 100,000 population.
What affects cancer mortality?
• Overall health (obesity, diet, physical activity, etc...)
• Screening Behavior• Access to Care (cost, location, language,
etc...)• Education about treatment options• Availability of most current treatments
Citations• 1 – Mortality: Surveillance, Epidemiology, and End Results (SEER) Program
(www.seer.cancer.gov) SEER*Stat Database: Mortality - All COD, Aggregated With State, Total U.S. (1969-2007) <Katrina/Rita Population Adjustment>, National Cancer Institute, DCCPS, Surveillance Research Program, Cancer Statistics Branch, released June 2010. Underlying mortality data provided by NCHS (www.cdc.gov/nchs).
• 2 - Incidence: Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence - SEER 17 Regs Research Data + Hurricane Katrina Impacted Louisiana Cases, Nov 2010 Sub (2000-2008) <Katrina/Rita Population Adjustment> - Linked To County Attributes - Total U.S., 1969-2009 Counties, National Cancer Institute, DCCPS, Surveillance Research Program, Cancer Statistics Branch, released April 2011, based on the November 2010 submission.
• 3 - http://www.cancer-rates.info/ut/index.php
• 4 – Utah Department of Health
Utah Incidence and Mortality1,2
2003-2007
Liver
Brain and CNS
Ovary
Non Hodgkin Lymphoma
Leukemia
Pancreas
Prostate
Breast
Colorectal
Lung
Corpus and Uterus
Leukemia
Endocrine
Bladder
Non Hodgkin Lymphoma
Melanoma
Lung
Colorectal
Breast
Prostate
100 80 60 40 20 0 20 40 60 80 100
Mortality Incidence
Rates per 100,000, age adjusted to the US Standard Population
US Incidence and Mortality1,2
2003-2007
Esophagus
Ovary
Liver
Non Hodgkin Lymphoma
Leukemia
Prostate
Pancreas
Breast
Colorectal
Lung
Leukemia
Corpus and Uterus
Kidney
Non Hodgkin Lymphoma
Melanoma
Bladder
Colorectal
Lung
Breast
Prostate
100 80 60 40 20 0 20 40 60 80 100
Mortality Incidence
Rates per 100,000, age adjusted to the US Standard Population
Cancer Mortality Trends over Time1
Rates per 100,000, age adjusted to the US Standard Population
0
50
100
150
200
250
1973
1975
1977
1979
198
119
83
198
519
87
198
919
91
199
319
95
199
719
99
200
120
03
200
520
07
Overall Cancer Mortality, 1973-2007
Utah
US
0
50
100
150
200
250
30019
7319
7519
7719
7919
81
198
319
85
198
719
89
199
119
93
199
519
97
199
920
01
200
320
05
200
7
Overall Cancer Mortality By Sex, 1973-2007
Utah Males
US Males
Utah Females
US Females
Utah Mortality By County3, 2003-2007
•Utah Average Rate – 135.7
•US Average Rate – 183.8
•Healthy People Goal – 160.6
89.4
51.1
9.6 1.5
106.3
52.4
10.6 3.60
20
40
60
80
100
120
Localized Regional Distant Unstaged
Inci
de
nce
pe
r 10
0,0
00
Fe
ma
les
Aged 20+, Diagnosed 2003-2007Rates are age-adjusted to the 2000 US standard population.
Female Breast Cancer Incidence2
Utah
U.S.
Breast Cancer Incidence by Stage2
Utah and US, 2003-2007
Female Breast Cancer OnlyEstimates are age-adjusted to the 2000 US standard population.
Localized58.7%
Regional33.8%
Distant6.3%
Unstaged1.1%
Utah
Localized61.3%
Regional30.2%
Distant6.2%
Unstaged2.3%
US
Breast Cancer Mortality1,3
0
5
10
15
20
25
30
35
1973
1975
1977
1979
198
119
83
198
519
87
198
919
91
199
319
95
199
719
99
200
120
03
200
520
07
Breast Cancer Mortality, 2003-2007
Utah
US
Female Breast Cancer OnlyRates per 100,000, age adjusted to the US Standard Population
Healthy People Goals4
22.3
8
21.7
6
23.5
6
22.9
8
22.3
23.1
3
25.2
5
19.6
3
19.4
5
19.5
5
21.4
7
0
10
20
30
200
0
200
1
200
2
200
3
200
4
200
5
200
6
200
7
200
8
200
9
2010
Utah Breast Cancer Mortality & HP 2020 Target, Age-Adjusted per 100,000
Females
Utah HP 2020 Target=22.3
72.6 68.8 66.4 67.8 67.3 67.6 66.4
0 %
25 %
50 %
75 %
100 %
200
0
200
1
200
2
200
3
200
4
200
5
200
6
200
7
200
8
200
9
2010
Percent of Utah Women Aged 40 or Older Who Have Had a Mammogram in the
Past 2 Years, Age-Adjusted
Utah HP 2020 Target=80.0%
25.6
16.2
9
1.8
27.9
23.1
12.8
3.80
5
10
15
20
25
30
Localized Regional Distant Unstaged
Inci
de
nce
pe
r 10
0,0
00
Po
pu
lati
on
Aged 20+, Diagnosed 2003-2007Rates are age-adjusted to the 2000 US standard population.
Colon Cancer Incidence2
Utah U.S.
Colon Cancer Incidence by Stage2
Utah and US, 2003-2007
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.
Distant41.3%
Unstaged34.2%
Localized18.9%
Regional5.6%
US
Distant48.7%
Unstaged30.8% Localized
17.1%
Regional3.4%
Utah
Colorectal Cancer Mortality1,3
0
5
10
15
20
25
30
35
1973
1975
1977
1979
198
119
83
198
519
87
198
919
91
199
319
95
199
719
99
200
120
03
200
520
07
Colorectal Cancer Mortality, 2003-2007
Utah
US
Rates per 100,000, age adjusted to the US Standard Population
Healthy People Goals4
17.3
8
13.1
5
14.8
9
13.8
9
12.0
3
12.8
3
12.4
3
11.9
6
10.7
6
12.1
1
11.4
2
0
10
20
200
0
200
1
200
2
200
3
200
4
200
5
200
6
200
7
200
8
200
9
2010
Utah Colon Cancer Mortality & HP 2020 Target
Utah HP 2020 Target=14.54
9.4
48
.0
48
.2 51.2 57
.7 61.
5
66
.8
68
.7
0%
25%
50%
75%
100%
200
0
200
1
200
2
200
3
200
4
200
5
200
6
200
7
200
8
200
9
2010
Percent of Utah Adults Aged 50 And Older Who Had a FOBT Within the Last Year or
Sigmoidoscopy or Colonoscopy Within the Last 10 Years
Utah HP 2020 Target = 70.5
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.
239.1
7.5 4
199.1
9.8 10.3
0
50
100
150
200
250
300
Localized/regional (Prostate cases) Distant Unstaged
Pro
sta
te C
an
cer
Inci
de
nce
pe
r 10
0,0
00
Ma
les
Males Aged 20+, Diagnosed 2003-2007Rates are age-adjusted to the 2000 US standard population.
Prostate Cancer Incidence2
Utah U.S.
Prostate Cancer Incidence by Stage2
Utah and US, 2003-2007
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.
Local/ Regional95.65%
Distant2.77%
Unstaged1.57%
Utah
Local/ Regional91.62%
Distant4.17%
Unstaged4.21%
US
Prostate Cancer Mortality1,3
05
101520253035404550
1973
1975
1977
1979
198
119
83
198
519
87
198
919
91
199
319
95
199
719
99
200
120
03
200
520
07
Prostate Cancer Mortality, 2003-2007
Utah
US
Rates per 100,000, age adjusted to the US Standard Population
Healthy People Goals4
24.3
1
25.9
7
25.3
5
24.6
2
21.8
2
21.4
6
24.2
4
24.8
7
21.9
5
17.3
2 23.1
6
0
10
20
30
40
200
0
200
1
200
2
200
3
200
4
200
5
200
6
200
7
200
8
200
9
2010
Utah Prostate Cancer Mortality & HP 2020 Target
Utah HP 2020 Target=21.2
57.662.3
54.6 57.0 59.0 60.9 63.1
0 %
25 %
50 %
75 %
100 %
200
0
200
1
200
2
200
3
200
4
200
5
200
6
200
7
200
8
200
9
2010
Percent of Men Aged 40+ Who Ever Had PSA Test by Year, 2000-2010
PSA State Target = 65.0%
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.
6.8 9
22.4
2.5
16.320.4
45.1
7
0
5
10
15
20
25
30
35
40
45
50
Localized Regional Distant Unstaged
Lu
ng
Ca
nce
r In
cid
en
ce p
er
100
,00
0 P
op
ula
tio
n
Aged 20+, Diagnosed 2003-2007Rates are age-adjusted to the 2000 US standard population.
Lung Cancer Incidence2
Utah
U.S.
Lung Cancer Incidence by Stage Utah and US2, 2003-2007
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.
Localized16.7%
Regional22.1%
Distant55.0%
Unstaged6.1%
Utah
Localized18.4%
Regional23.0%
Distant50.8%
Unstaged7.9%
US
Lung Cancer Mortality1,3
0
10
20
30
40
50
60
70
1973
1975
1977
1979
198
119
83
198
519
87
198
919
91
199
319
95
199
719
99
200
120
03
200
520
07
Lung Cancer Mortality, 2003-2007
Utah
US
Rates per 100,000, age adjusted to the US Standard Population
Healthy People Goals4
17.38
13.1514.89 13.89
12.03 12.83 12.43 11.96 10.76 12.11 11.42
0
10
20
30
40
50
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Utah Lung Mortality & HP 2020 Target
Utah HP 2020 Target=45.5
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.
1
3.24.8
0.81
3.1
6
1.70
2
4
6
8
10
12
14
Localized Regional Distant Unstaged
Co
lon
Ca
nce
r In
cid
en
ce
Aged 20+, Diagnosed 2003-2007Rates are age-adjusted to the 2000 US standard population.
Pancreatic Cancer Incidence 2
Utah US
Pancreatic Cancer Incidence by Stage Utah and US2, 2003-2007
Rates are per 100,000 Estimates are age-adjusted to the 2000 US standard population.
Localized10.2%
Regional33.3%
Distant49.1%
Unstaged7.4%
Utah
Localized8.5%
Regional26.3%
Distant50.8%
Unstaged14.4%
US
Pancreatic Cancer Mortality1,3
0
2
4
6
8
10
12
1973
1975
1977
1979
198
1
198
3
198
5
198
7
198
9
199
1
199
3
199
5
199
7
199
9
200
1
200
3
200
5
200
7
Pancreatic Cancer Mortality, 2003-2007
Utah
US
Rates per 100,000, age adjusted to the US Standard Population
Wrap Up
• Future reports• Comments• Questions
Data Acquisition, Utilization, and Management Team Members
• Meghan Balough, UDOH• Banning Leonard, UDOH• Kathie Marti, UDOH• Antoinette Stroup, UCR• Shelly Wagstaff, UDOH• Kim Herget, UCR
Utah Cancer Registry Acknowledgement
• Research was supported by the Utah Cancer Registry, which is funded by Contract No. HHSN261201000026C from the National Cancer Institute's SEER Program with additional support from the Utah State Department of Health and the University of Utah.
